pslewis

Any dentists on here?

My crown, front top tooth, has come off

It is attached to a post, the post has snapped - the root is not damaged (according to my Dentist) ..... but, I need the old post removing and a new Crown fitting

He won't remove the post for fear of damaging the root, but, has a man who does this type of thing coming in on 22nd October! !

He 'thinks' the charge will be around £125 for the post removal and £460 for the new crown

The old crown is only 30 months old

He also says that I cannot have the post removed on NHS (he is now NOT NHS, as of today - he made me sign a bit of paper saying I didn't want him to provide NHS treatment to me anymore)

Can the treatment be carried out on NHS?

What does the removal of the post involve? and why couldn't he do it?


Pete

mart360

because he wants to charge you loads !!!

i wouldnt have signed, and then he has a moral obligation to treat you...

its only £8 to have the tooth out that should suit your poor

chief engineers budget Pete!!!

more to the point... your an engineer,, come up with a solution!!!


LOl




mart

pslewis

He said if I don't sign then I will be unable to sign on at a NHS Dentist elsewhere, as I will still be registered with them, seemed to make sense?

I've been a customer there for 23 years, about the time that the dentists now there were just getting out of nappies!!

I would drill the post out, as an engineer, and I would thread the next one so it could be unscrewed if required.

With all the advancements in technology, why is the Dental Profession still drilling and filling? .....................

Pete

DocJock

"i wouldnt have signed, and then he has a moral obligation to treat you..."

Wrong

Pete, it can be done on the NHS, if you can find a dentist willing to take you on as a patient.

DocJock

Cross-posted there Pete.......

He is bull****ting you mate.
You have NO OBLIGATION to have him treat you.

If you go to another dentist, they will register you as an NHS patient and the DEB automatically deregister you from his list when you go on the new blokes.

"With all the advancements in technology, why is the Dental Profession still drilling and filling ?....."

Because bloody patients keep coming in with holes in their teeth !!!

pslewis

Thanks DocJock

I think he meant, 'moral obligation' as the practise had had many £100's off me over the past 23 years?

But, he is seeing £££££££££££ signs everytime a NHS patient falls off his list, I suppose?

Does the post have to be removed by a specialist, as my dentist claims?? I thought it was a job that 'should' be well within the range of an extremely well paid professional?

And, why not drill out the old crown and re-use that??

Pete

DocJock

No kidding, he will just use a little tap and die set.

The crown could be re-used in theory, but very often the porcelain gets heat stressed when the inside is being cut out and is easily cracked.

Also, we are all greedy b@stards and he knows you are loaded

lgv1driver

Pete is the dentist the one i go to in your village/town, where you live as i have a appointment next week and they have made alot of changes, but i hope they are still NHS???????????

Jon (gold wheels scooby)

p.s. must meet up with huxleys and yourselves at your local.

pslewis

He says that the specialist will use ultra-sonic tools to loosen the cement holding the post in place!!?????

He also said that a NHS crown is very poor quality, his will last at least 10 times longer as its private and he can invest more time and get a better quality material crown ................ is he having a laugh with me??

Pete

pslewis

Jon, if you go there you will be told in no uncertain terms that you are not welcome as a NHS patient. They are telling their patients that the practice no longer wants NHS work and you either go private or find another dentist!

Les is going there in 2 weeks and she is now a bit concerned!

What appears to be happening is that they give you a check-up and say that they are no longer NHS ....... the work you need will cost £xxx's - I am absolutely amazed at the charges they have now posted. £45 for check-up, simple scale and polish!! 10 minutes top!

All the other prices are all FROM!! ie. FROM £325, FROM £500, FROM £275 - why can't they give you a DEFINITIVE price??

I suppose its the old, "We don't know what we'll find"

Get ready for a shock!

Pete

DocJock

"He also said that a NHS crown is very poor quality, his will last at least 10 times longer as its private and he can invest more time and get a better quality material crown ................ is he having a laugh with me??"

Yup, a very big laugh. Unless he has been ripping you off previously a more expensive crown should last absolutely no longer than a properly done cheaper one.

Better materials ? Possibly, but my technician will tell you that a lot of his customers (not all !) who went over to private treatment specify exactly the same materials.

I'll leave you to draw your own conclusions.

pslewis

Thought so, DocJock!!

I mean, if you are getting paid MORE for the SAME job then to make the MOST profit you do the SAME job in the SAME time at the SAME cost, but charge the poor customer a lot more for perceived value!

Nice one! Now, wheres that Dentistry Application Form?

Pete

DocJock

Sorry mate, you have to retire at 70 !

pslewis

By what I have witnessed recently most dentists get bought-out at age 45 and then retire to their country retreat!

Pete

Jye

But pete, you dont need teeth to eat mashed bannana

pslewis

Jye - if you had your own teeth I'd knock them out!!

Pete

mart360

Docjock,

so if a patient needed treatment but refused to sign off the nhs and into private practice its ok to tell them to get lost...

dosent the hipocratic oath apply??
, hence my statement about moral obligation..


he,s not called mengale is he pete you know, is it safe!!!

Mart


grr mode on

what gets me is that when i went for treatment, i got the

"you are the patient, and we will discuss and agree a course of treatment with you .."

i tell them what i want and they have a blue fit...

one even refused to see me because what i wanted didnt fit his

"model of dentistry"

I went to have treatment done some years back, and my notes were quite detailed in what was to happen..

the dentist who checked me prior to the op read my notes and then started to tell ne what he was going to do,,

quite the opposite to what my own dentist and i had agreed.

i told him flatly to put his eqipment down re read the notes and do as requested.!!

if you were to go to a garage for an oil change, and they dropped your front suspension, because they decided it needed doing you wouldnt be too impressed would you ..

grr mode off

mart

fast bloke

Pete - M8 - I have an easy solution for you. I will get you the address of the guy who looks after my mother-in-laws teeth. Every time she breaks one, she just posts him the entire set and he fixes the broken one

SJ_Skyline

Pete, there is good advice here


Toon ARMY!!

DocJock

"so if a patient needed treatment but refused to sign off the nhs and into private practice its ok to tell them to get lost...

dosent the hipocratic oath apply??
, hence my statement about moral obligation.."

Mart, I didn't say I agreed with it, but no, there is no obligation.

What would you say if they said to you "we've been doing your treatment for XX years so you are obliged to keep coming to us" ?

Leslie

They leave the NHS because the money is very poor. My local dentist had a callout to a child one weekend to fix an infected tooth, After several hours work and transport etc he made £2.50 profit!

He has now left the NHS and the nearest NHS dentist is 50 miles away and no available transport except by car. No help for most of the pensioners around here!

Les

lgv1driver

Pete, my dentist is the other one in Town, still NHS.

Jon

pslewis

**UPDATE**

Decided to contact an old friend who is a Dentist for his opinion, he said he would have to view the tooth first before he could offer sound advice.

Yesterday, he looked at the root left, the snapped off post and the crown (which I still clung to!)

The advice??

Lay back and we'll fix this!!

What?? My Dentist says I need to see a specialist to get the broken post out!!

See this screwdriver? Watch ...... turn, turn, turn - out comes broken part of post!!

Ok, thanks, but now I need a new post and new crown?

Yes, a new post - but new crown? Why? when the one that broke off is perfectly serviceable? Its the post that snapped NOT the crown!!!

10 minutes later the crown was hollowed out, another 10 minutes and he had positioned a new post ...... then came the awkward part - because my dentist had not filled the hole the gum had begun to close, so, he had to cut some of my gum away!

So, in 1 hour he had completed the job - he is very good I must admit, BUT:-

My Dentist said I needed a new Crown - LIE

My Dentist said I needed to see his 'specialist' friend to remove old post - LIE

My Dentist said I would have to wait for 6 weeks to see specialist - TRUE, BUT, if that was the case he should have ensured that the gum didn't close up!!

Basically, in my opinion, my Dentist is corrupt (placing work with a friend when not required, stating that a new crown was required when it wasnt and failing to do what he should to my gum!)

He was clearly just interested in grabbing as much money as he could!!

Distgusted!

Pete

DocJock

Pete

Put that to him in a letter.
He must (by regulation) have a Practice Policy for dealing with grievances.

This should include a time scale for acknowledging your complaint, responding to your complaint and a process for further mediation should his response be unsatisfactory to you.

I will, however, wager he will respond that in his professional OPINION, the work he quoted you for was necessary.
Unless your friend is willing to get dragged into it by giving his opinion then the system will work in his favour.

Sorry fella, but that is how it works at present.....

Midlife......

iTrader: (2)

DocJock...........

A bit of a late comer I know but most dentists would consider using a Masseran Trephine (if used) a "specialist" Tx hence the referral


Midlife.....

DocJock

Really ?

I was taught practical trepanning as a 4th year student !
Wouldn't think twice about it....

JackClark

>£460 for the new crown

Oh Brilliant! Is that what they cost!!

To make you feel better Pete.

Root Canal - X amount by X dentist. Can't remember and no records
Removal of File from Root Canal and job done properly - £1000
Check up that finds filling needed in same tooth - £60
Filling Probably another - £80
And now the Crown to finish the job off - £460

mart360

extraction £16



M

Aaquil

DocJock I am not being funny but are you a dentist?

Midlife......

iTrader: (2)

DocJock

Yep... AFAIK not in the current undergraduate curriculum nor in ther GDC's document "The First Five Years". Did Bill Saunders teach you ???

Midlife......